Clergy Exemption Initial Application For 2018/2019 - Nyc Department Of Finance Page 5
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7Clergy Tax Benefits INITIAL APPLICATION 2018/19
Owner 3:
NAME (FIRST, LAST)
DATE OF BIRTH (mm/dd/yyyy)
SOCIAL SECURITY / ITIN NUMBER
STREET ADDRESS
APT.
CITY
STATE
ZIP
TELEPHONE
CELL PHONE
NUMBER
NUMBER
(
)
–
(
)
–
n
n
EMAIL ADDRESS
IS THIS THE PRIMARY RESIDENCE OF OWNER 3?
Yes
No
RELATIONSHIP TO OWNERS 1 AND 2
Owner 4:
NAME (FIRST, LAST)
DATE OF BIRTH (mm/dd/yyyy)
SOCIAL SECURITY / ITIN NUMBER
STREET ADDRESS
APT.
CITY
STATE
ZIP
TELEPHONE
CELL PHONE
NUMBER
NUMBER
(
)
–
(
)
–
n
n
EMAIL ADDRESS
IS THIS THE PRIMARY RESIDENCE OF OWNER 4?
Yes
No
RELATIONSHIP TO OWNERS 1 AND 2
4
Clergy Exemption Rev. 12.4.2017
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